Membership Form

Please complete the form below and click the 'Send' button.

Vehicles Owned *

...............................Please Enter - Year; Make; Model; Colour; Reg. No.

Do you have a Race Licence?

If anyone else on this application has a race licence please enter their name/s here:

Would you like your printed Bulletin monthly magazine by email Y/N?
Select Activities in which you are Interested

Subscriptions

Note that in the subscription list you will find a number of options. The months refer to your joining date. If you join between April and June you will pay a full year's subscription but this will include the following year. PLEASE SELECT THE APPROPRIATE OPTION

INTERNET BANKING: If you want to pay by Internet banking our bank a/c No. is 03 0539 0165992 00 Please place your name and 'New Subscription' in the reference fields

MoST Content Management V3.0.7013